Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What common issues may arise with infant skin?

1. Increased infection risk

2. Increased permeability and diaper dermatitis

3. Thickened dermis and delayed healing

4. Hyperpigmentation and scarring

The correct answer is: Increased permeability and diaper dermatitis

Infant skin has unique characteristics that can lead to specific issues, one of which is increased permeability and susceptibility to conditions like diaper dermatitis. The skin of infants is thinner and more delicate than that of older children and adults, making it more permeable. This increased permeability can allow irritants and allergens to penetrate more easily, heightening the potential for rashes and skin irritations. Diaper dermatitis, commonly known as diaper rash, is a frequent issue due to moisture, friction, and the contact of the skin with urine and feces. These factors contribute to skin irritation and inflammation, which can lead to discomfort for the infant. The thin skin in the diaper area combined with the increased permeability makes it particularly vulnerable to these irritative factors, resulting in a greater likelihood of developing diaper dermatitis. The other options do not accurately reflect the most common skin issues seen in infants. For example, although increased infection risk can be a concern, it is not as prevalent or directly related to the inherent characteristics of infant skin as diaper dermatitis. Thickened dermis and delayed healing typically occur in older individuals or due to specific underlying conditions, rather than being a common feature of infant skin. Hyperpigmentation and scarring are also less commonly observed in the context of typical